Endovascular treatment of Leriche’s syndrome (type D TASC II)

Mieczysław Grodowski, Marek Motyka, Tomasz Ruciński, Rafał Boczej

Acta Angiologica 2010;16(2):78-84.

open access

Vol 16, No 2 (2010)

Case reports

Published online: 2010-07-13

Abstract

Background. Chronic lower limb ischaemia due to the Leriche’s syndrome caused by an iliac artery occlusion
type D (according to TASC II classification) is treated with a standard bypass aortic-bi-iliac procedure. In
some cases, endovascular techniques can be used, like a subintimal balloon angioplasty with a stent implantation
to the iliac arteries.
Material and methods. This paper presents the case of a 48-year-old woman with quite intensive, long-lasting chronic lower limb ischaemia due to a background of iliac artery occlusion. The patient was subject to
a bilateral subintimal balloon angioplasty of the iliac arteries with a stent implantation and its own vein patch
angioplasty of the left femoral common artery.
Results. There were no complications observed in the post-surgery period. Previously observed limb pain
aliments were gone, and the ankle–brachial pressure index (ABPI) control check was 0.91 on the right side,
and 1.0 on the left side.
Conclusions. The described case proves the effectiveness, safety, and wide spectrum of possibilities for endovascular
treatment of Leriche’s syndrome caused by iliac artery occlusion. The future will probably bring
further development and popularization of endovascular surgery. Acta Angiol 2010; 16, 2: 78-84

Abstract

Background. Chronic lower limb ischaemia due to the Leriche’s syndrome caused by an iliac artery occlusion
type D (according to TASC II classification) is treated with a standard bypass aortic-bi-iliac procedure. In
some cases, endovascular techniques can be used, like a subintimal balloon angioplasty with a stent implantation
to the iliac arteries.
Material and methods. This paper presents the case of a 48-year-old woman with quite intensive, long-lasting chronic lower limb ischaemia due to a background of iliac artery occlusion. The patient was subject to
a bilateral subintimal balloon angioplasty of the iliac arteries with a stent implantation and its own vein patch
angioplasty of the left femoral common artery.
Results. There were no complications observed in the post-surgery period. Previously observed limb pain
aliments were gone, and the ankle–brachial pressure index (ABPI) control check was 0.91 on the right side,
and 1.0 on the left side.
Conclusions. The described case proves the effectiveness, safety, and wide spectrum of possibilities for endovascular
treatment of Leriche’s syndrome caused by iliac artery occlusion. The future will probably bring
further development and popularization of endovascular surgery. Acta Angiol 2010; 16, 2: 78-84

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Keywords

Authors

Mieczysław Grodowski
Marek Motyka
Tomasz Ruciński
Rafał Boczej

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